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Risk profiles for poor treatment response to internet-delivered CBT in people with social anxiety disorder
University of Örebro, Sweden.
Uppsala University, Sweden.
Stockholm University, Sweden.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Institute, Sweden.ORCID iD: 0000-0003-4753-6745
2015 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 33, 103-109 p.Article in journal (Refereed) Published
Abstract [en]

In social anxiety disorder (SAD) co-morbid depressive symptoms as well as avoidance behaviors have been shown to predict insufficient treatment response. It is likely that subgroups of individuals with different profiles of risk factors for poor treatment response exist. This study aimed to identify subgroups of social avoidance and depressive symptoms in a clinical sample (N=167) with SAD before and after guided internet-delivered CBT, and to compare these groups on diagnostic status and social anxiety. We further examined individual movement between subgroups over time. Using cluster analysis we identified four subgroups, including a high-problem cluster at both time-points. Individuals in this cluster showed less remission after treatment, exhibited higher levels of social anxiety at both assessments, and typically remained in the high-problem cluster after treatment. Thus, in individuals with SAD, high levels of social avoidance and depressive symptoms constitute a risk profile for poor treatment response.

Place, publisher, year, edition, pages
Elsevier , 2015. Vol. 33, 103-109 p.
Keyword [en]
Social anxiety disorder; Social avoidance; Depressive symptoms; Guided internet-based CBT; Risk factors; Cluster analysis
National Category
Basic Medicine
URN: urn:nbn:se:liu:diva-120357DOI: 10.1016/j.janxdis.2015.05.007ISI: 000357625900013PubMedID: 26087474OAI: diva2:843868
Available from: 2015-07-31 Created: 2015-07-31 Last updated: 2015-07-31

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Andersson, Gerhard
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